Evidence map›Paper›PMID 39419540›Full record

ArticleOccupational and environmental medicine2024

Risk of opioid-related harms by occupation within a large cohort of formerly injured workers in Ontario, Canada: findings from the Occupational Disease Surveillance System.

Nancy Carnide, Jeavana Sritharan, Chaojie Song, Fateme Kooshki, Paul A Demers

Abstract read
In one paragraph

Article in Occupational and environmental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. ACMT and AACT Position Statement: Preventing Occupational Opioid Exposure to Emergency Responders.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nancy CarnideInstitute for Work & Health, Toronto, Ontario, Canada ncarnide@iwh.on.ca.ORCID 0000-0001-7892-5626
Jeavana SritharanDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-8228-1632
Chaojie SongOccupational Cancer Research Centre, Ontario Health, Toronto, Ontario, Canada.ORCID 0000-0002-2693-1095
Fateme KooshkiInstitute for Work & Health, Toronto, Ontario, Canada.ORCID 0009-0006-4670-7660
Paul A DemersDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-2163-2352

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWorking-age individuals have been disproportionately affected by the opioid crisis, prompting interest in the potential role of occupation as a contributor. This study aimed to estimate the risk of opioid-related poisonings and mental and behavioural disorders by occupation and industry within a cohort of 1.7 million formerly injured workers.

methodsWorkers were identified in the Occupational Disease Surveillance System, a system linking workers' compensation data (1983-2019) to emergency department and hospitalisation records (2006-2020) in Ontario, Canada. Cox proportional hazards models were used to estimate HRs and 95% CIs for hospital encounters for opioid-related poisonings and mental and behavioural disorders by occupation and industry compared with all other workers, adjusted for age, sex and birth year.

resultsIn total, 13 702 opioid-related poisoning (p) events (n=10 064 workers) and 19 629 opioid-related mental and behavioural (mb) disorder events (n=11 755 workers) were observed. Elevated risks were identified among workers in forestry and logging (HR

conclusionsResults provide additional evidence that opioid-related harms cluster among certain occupational groups. Findings can be used to strategically target prevention and harm reduction activities in the workplace.

Indexed as

OccupationsAdolescentAdultAnalgesics, OpioidCohort StudiesFemaleHumansMaleMental DisordersMiddle AgedOccupational DiseasesOntarioOpioid-Related DisordersProportional Hazards ModelsRisk FactorsWorkers' CompensationAnalgesics, OpioidMental HealthPublic healthPublic Health Surveillance

Identifiers

PMID39419540
PMCPMC11503144

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.